When a client's wife asked whether the nurse would like a tour of the yard and her gardens, the nurse agreed immediately. Considering the limited time the nurse had to spend with the family, why did the nurse agree to tour the gardens?
a. Accepting the invitation encourages the wife to speak privately to the nurse.
b. Completing the environmental assessment will assist with drawing a genogram.
c. Examining of the environment helps identify potential health or safety problems.
d. Touring the grounds allows the nurse to learn more about the family.
ANS: C
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A nurse is caring for a client on mechanical ventilation and finds the client agitated and thrashing about. What action by the nurse is most appropriate?
a. Assess the cause of the agitation. b. Reassure the client that he or she is safe. c. Restrain the client's hands. d. Sedate the client immediately.
An older client is surprised to learn of the diagnosis of oral candidiasis. What responses should the nurse make to this client? Select all that apply.
1. "It can be seen in people who have diabetes." 2. "It is often caused by eating spicy or irritating foods." 3. "Sometimes people who use oral inhaled steroids for asthma can develop this." 4. "It is a bacterial infection that may be transmitted by contact with dirty utensils." 5. "It is an infection that results when there is an alteration in the normal flora of the mouth."
You are having a one-on-one communication with a client with a diagnosis of schizophrenia. You notice that when this client speaks, there is less order in the ideas and topics than you have found in clients without a diagnosis of schizophrenia
Some ideas do not make sense together, but make sense alone. You decide to chart this speech pattern as which of the following patterns? a. tangential b. circumstantial c. loose d. irrational
It has been said that Florence Nightingale revolutionized nursing. Which example supports this statement?
a. She encouraged men to become nurses. b. She encouraged nurses to serve physicians in order to learn from them. c. She instituted changes that affected patient survival rates. d. She organized nursing in America.